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Patient Safety and the Importance of Informed Consent

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Urolithiasis

Abstract

Safety of the patients in health care is a subject that has received significant attention over the last decade. This attention stemmed from the realization that human beings are bound to make errors. However, these errors can be considerably decreased if systems are changed appropriately. Multiple factors have been identified for reducing errors and improving safe practices in clinical care. One of these factors is procurement of well-understood informed consent, especially from patients having language barriers or low health literacy. In order to achieve this objective, various methods have been suggested. “Teach-back” is one such method, where patients or family members are requested to teach the health-care providers, in their own words, what they have understood during the consent process. This and other measures used to procure a well-understood informed consent have shown a significant decrease in the incidence of medical errors, leading to safer health care for patients and providers. There might be logistic problems in obtaining consent from some of the patients, but for the delivery of safe health care, a well-understood informed consent is mandatory.

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References

  1. Saw KC, Wood AM, Murphy K, et al. Informed consent: an evaluation of patients’ understanding and opinion (with respect to the operation of transurethral resection of prostate). J R Soc Med. 1994;87(3):143–4.

    PubMed  CAS  Google Scholar 

  2. Bergler JH, Pennington AC, Metcalfe M, et al. Informed consent: how much does the patient understand? Clin Pharmacol Ther. 1980;27(4):435–40.

    Article  PubMed  CAS  Google Scholar 

  3. Definition of patient safety. From Wikipedia, the free encyclopedia.http://en.wikipedia.org/wiki/Patient_safety. Accessed on 14 July 2011.

  4. Emanuel L, Berwick D, Conway J, et al. What exactly is patient safety? Advances in Patient Safety: New Directions and Alternative Approaches. AHRQ Publication Nos. 08-0034 Volume 1, July 2008.http://www.ahrq.gov/qual/advances2. Accessed in May 2011.

  5. Zhang J, Patel VL, Johnson TR. Medical error: is the solution medical or cognitive? J Am Med Inform Assoc. 2008;6 Suppl 1:75–7. doi:10.1197/jamia.M1232.

    Google Scholar 

  6. Reference.MD. Definition of medical errors.http://www.reference.md/files/D019/mD019300.html. Accessed on 10 Sepi 2011.

  7. Institute of Medicine, Kohn LT, Corrigan JM, Donaldson MS, editors. To err is human: building a safer health system. Washington D.C.: National Academy Press; 2000.

    Google Scholar 

  8. Implementation manual – surgical safety checklist.http://www.who.int/patientsafety/safesurgery/tools_resources/SSSL_Manual_finalJun08.pdf. Accessed on June 2011.

  9. Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360:491–9.

    Article  PubMed  CAS  Google Scholar 

  10. National Quality Forum. Implementing a national voluntary consensus standard for informed consent – A user’s guide for healthcare professionals. 2005. Washington D.C.: Author.www.qualityforum.org/publications.html. Accessed in May 2011 at URLhttp://www.qualityforum.org/Publications/2005/09/Implementing_a_National_Voluntary_Consensus_Standard_for_Informed_Consent__A_User%E2%80%99s_Guide_for_Healthcare_Professionals.aspx.

  11. Doak CC, Doak LG, Root JH. Teaching patients with low literacy skills. 2nd ed. Philadelphia: JB Lippincott Company; 1996. 24.

    Google Scholar 

  12. Schillinger D, Piette J, Grumbach K, et al. Physician communication with diabetic patients who have low health literacy. Arch Intern Med. 2003;163(1):83–90.

    Article  PubMed  Google Scholar 

  13. The National Work Group on Literacy and Health. Communicating with patients who have limited literacy skills: report of the National Work Group on Literacy and Health. J Fam Pract. 1998;46(2):168–76.

    Google Scholar 

  14. National Quality Forum. Improving patient safety through informed consent for patients with limited health literacy an implementation report. 2005. Washington D.C.: Author.www.qualityforum.org/publications.html. Accessed in July 2011 at URLhttp://www.qualityforum.org/Publications/2005/09/Improving_Patient_Safety_Through_Informed_Consent_for_Patients_with_Limited_Health_Literacy.aspx

  15. Baum N. Comprehension is the key: the challenge hospitals face is that many patients do not understand the fundamental information regarding their treatment plans.http://www.psqh.com/mayjun06/informed.htmlAccessed on Aug 2011.

  16. Mcdonagh C. Informed consent, part two: how to enhance the physician-patient dialogue.http://www.aao.org/publications/eyenet/201001/practice_perf.cfm. Accessed on 10 Sept 2011.

  17. Khan RI. Informed consent and some of its problems in Pakistan. J Pak Med Assoc. 2008;58:82–4.

    PubMed  Google Scholar 

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Correspondence to Robyna Irshad Khan FCPS (anaesthesiology), M.B.B.S., MHSc (bioethics) .

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© 2012 Springer-Verlag London

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Khan, R.I. (2012). Patient Safety and the Importance of Informed Consent. In: Talati, J., Tiselius, HG., Albala, D., YE, Z. (eds) Urolithiasis. Springer, London. https://doi.org/10.1007/978-1-4471-4387-1_68

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  • DOI: https://doi.org/10.1007/978-1-4471-4387-1_68

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